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  Form DVAT 01 - Application For Opting For Composition Scheme by a dealer registered
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persons including companies required to furnish return under section 139(4A) or section 139(4B) or section 139(4C) or section 139(4D (Please see rule 12 of the Income-tax Rules
November, 11th 2014
                                                               INDIAN INCOME TAX RETURN                                                                Assessment Year
                           FORM                    [For persons including companies required to furnish return under
                                  ITR-7         section 139(4A) or section 139(4B) or section 139(4C) or section 139(4D)]
                                                                   (Please see rule 12 of the Income-tax Rules,1962)
                                                                     (Also see attached instructions for guidance)
                                                                                                                                                2014-1 5

Part A-GEN
                           Name (as mentioned in deed of creation/establishing/incorporation/formation)                                        PAN


                           Flat/Door/Block No                              Name Of Premises/Building/Village                                                      Date of
                                                                                                                                                          formation/incorporation
                                                                                                                                                                 (DD/MM/YYYY)
                                                                                                                                                                    /             /

                                                                                                                                                                                 
                           Road/Street/Post Office                         Area/Locality                                                                      Status
                                                                                                                                                      (see instructions para
                                                                                                                                                               11b)
                           Town/City/District                              State                                          Pin code
    PERSONAL INFORMATION




                           Office Phone Number with STD code/Mobile No. 1                                    Fax Number/Mobile No. 2                  Income Tax Ward/Circle



                           Email Address 1

                           Email Address 2
                           Details of the projects/institutions run by you
                            Sl. Name of the                    Nature of activity         Classification (see        Approval/            Approving/         Section under which
                                  project/institution          (see instruction para      instructions para 11d)     Notification/        registering        exemption claimed, if any
                                                                  11d)                                               Registration No.     Authority          (see instruction para 11e)
                             1

                             2

                             3

                             4
                                  Return filed[Please see instruction no.-6] On or before due date-139(1),  After due date-139(4),  Revised Return-139(5)
                            (a)
                                   Modified return-92CD OR In response to notice u/s  139(9)- defective,  142(1),  148,  153A,  153C
                            (b)     Return furnished under section           139(4A)                   139(4B)                       139(4C)                        139(4D)
                                  If revised/in response to defective/Modified, then enter
                            (c)
                                  Receipt No and Date of filing original return (DD/MM/YYYY)                                                                            ___ /___/____
FILING STATUS




                                  If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C enter date of such notice, or u/s 92CD enter
                            (d)
                                  date of advance pricing agreement
                                                                                                                                                                            /      /
                            (e)   Residential status?  (Tick)  Resident                       Non-resident
                                  Whether any income included in total income for which for which claim under section 90/90A/91 has been made?  Yes No
                            (f)
                                  [applicable in the case of resident] [if yes, ensure to fill Schedule FSI and Schedule TR]
                            (g)   Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of the Act?                      Yes            No
                            (h)   In the case of non-resident, is there a permanent establishment (PE) in India (Tick)                    Yes            No
                            (i)   Whether this return is being filed by a representative assessee? (Tick)                   Yes                          No
                                  If yes, please furnish following information -
                                    (1)   Name of the representative
                                    (2)   Address of the representative
                                    (3)   Permanent Account Number (PAN) of the representative
For Office Use Only                                                                                                                            For Office Use Only
                                                                                                                                               Receipt No.

                                                                                                                                               Date

                                                                                                                                               Seal and Signature of receiving official




                                                                                                                                                                        Page 1 of 17
                              Where, in any of the projects/institutions run by you, one of the charitable purposes is advancement of any other
                A    i
                              object of general public utility then,-
                                     whether there is any activity in the nature of trade, commerce or business referred to
                                a
                                     in proviso to section 2(15)?                                                                    Yes      No
OTHER DETAILS




                                     whether there is any activity of rendering any service in relation to any trade,
                                b
                                     commerce or business for any consideration as referred to in proviso to section 2(15)?          Yes      No
                     ii       If `a' or `b' is YES, the aggregate annual receipts from such activities in respect of that institution
                                                                                                  Amount of aggregate annual receipts from such
                              Sl.   Name of the project/Institution
                                                                                                  activities
                               a

                               b

                B   University/ Educational Institution/ Hospital/ Other Institution eligible for exemption u/s 10(23C)(iiiad) and 110(23C)(iiiae)
                    Tick , if           Section           Name of the University/ Educational Institution/ Hospital/      Aggregate annual receipts
                    applicable                            Other Institution                                               (Rs.)
                                        10(23C)(iiiad)     i
                             
                                                           ii

                                                           iii

                                                           iv

                                        10(23C)(iiiae)     i
                                                           ii

                                                           iii

                                                           iv

                C        i    Whether Registered u/s 12A/12AA?                                                                 Yes               No
                     ii       If yes, then enter Registration No.

                     iii      Commissioner/Director of Income-tax (Exemptions) who granted registration

                     iii      Date of Registration (DD/MM/YYYY)                                                            ____/____/________
                     iv       Whether activity is,-              charitable,      religious or     both?     Please tick  as applicable.

                D        i    Whether approval obtained under section 35?                                                      Yes               No
                     ii       If yes, then enter the relevant clause of section 35 and Registration No.

                     iii      Date of Approval (DD/MM/YYYY)                                                                ____/____/________
                     iv       Approving Authority
                     v        Whether research is,-               Scientific,    Social Science or  Statistical?   Please tick  as applicable
                     vi       In case of business activity in research, whether it is  Incidental or  Not incidental? Please tick  as applicable
                         i    Whether approval obtained u/s 80G?                                                               Yes                 No
                E    ii       If yes, then enter Approval No.

                     iii      Date of Approval (DD/MM/YYYY)                                                                ____/____/________
                     Is there any change in the objects/activities during the Year on the basis of which
                F
                    approval/registration was granted?                                                                        Yes                No
                G     i Whether a political party as per section 13A? (if yes, please fill schedule LA)                       Yes                No
                    ii       If yes, then whether registered?                                                                 Yes                No
                             If yes, then enter registration number under section 29A of the Representation of
                    iii
                             People Act, 1951
                H    i       Whether an Electoral Trust? (if yes, please fill schedule ET)                                    Yes                No
                    ii       If yes, then enter approval number?



                                                                                                                                            Page 2 of 17
                              iii Date of Approval (DD/MM/YYYY)                                                                 ____/____/________
                      I        i   Whether registered under Foreign Contribution (Regulation) Act, 1976 (FCRA)?                        Yes              No

                              ii   If yes, then enter Registration No.

                              iii Date of Registration (DD/MM/YYYY)                                                             ____/____/________
                                    a   Total amount of contribution received from outside India during the year, if any        Rs. ____________________
                              iv
                                    b   Specify the purpose for which the above contribution is received

                      J       Whether liable to tax at maximum marginal rate under section 164?                                    Yes                No

                      K       Is this your first return?                                                                           Yes                No


                      Are you liable for audit?            (Tick)      Yes             No,      If yes, furnish following information-
                      Section under which you are liable for audit (specify section). Please mention date of audit report. (DD/MM/YY) (see Instruction 6(ii))
AUDI T INFORMATION




                          12A

                          a        Name of the auditor signing the tax audit report
                          b        Membership no. of the auditor
                          c        Name of the auditor (proprietorship/ firm)
                          d        Permanent Account Number (PAN) of the proprietorship/ firm
                          e        Date of audit report
                          f        Date of furnishing of the audit report               ____/____/______ (DD/MM/YYYY).




 Part B ­ TI                               STATEMENT OF INCOME FOR THE PERIOD ENDED ON 31ST MARCH 2014
                      1 Income from house property [3c of Schedule HP] (enter nil if loss)                                       1

                      2 Profits and gains of business or profession [as per item no. E 35 of schedule BP]                        2
                      3 Income under the head Capital Gains
                               a   Short term (A5 of schedule CG)                          3a
                              b    Long term (B3 of schedule CG) (enter nil if loss )      3b
                               c Total capital gains (3a + 3b) (enter nil if loss )                                              3c
                      4 Income from other sources [as per item no. 4 of Schedule OS]                                             4
STATEMENT OF INCOME




                      5 Voluntary Contributions (C of schedule VC)                                                               5
                      6 Gross income [1 + 2 + 3c + 4 + 5]                                                                        6
                        If registered under section 12A/12AA, fill out items 7 to 13
                        Aggregate of income referred to in section u/s 11 and 12 derived during the previous year to the
                      7                                                                                                           7
                        extent that is included in 6 above
                      8 Voluntary contribution forming part of corpus as per section 11(1)(d) [(Ai + Bi) of schedule VC]          8
                      9 Application of income for charitable or religious purposes
                             Amount applied to charitable or religious purposes in India during the previous year -
                          i                                                                                                 9i
                             Revenue Account
                             Amount applied to charitable or religious purposes in India during the previous year­
                          ii Capital Account [Excluding application from Borrowed Funds and amount exempt u/s 9ii
                             11(1A)]
                             Amount applied to charitable or religious purposes in India during the previous year -
                         iii                                                                                               9iii
                             Capital Account (Repayment of Loan)
                             Amount deemed to have been applied to charitable or religious purposes in India during
                         iv                                                                                                9iv
                             the previous year as per clause (2) of Explanation to section 11(1)
                                 If (iv) above applicable, whether option to be exercised in
                             a                                                                         Yes  No
                                 writing before due date to the Assessing Officer
                             Amount accumulated or set apart for application to charitable or religious purposes to
                         v the extent it does not exceed 15 per cent of income derived from property held in trust/ 9v
                             institution under section 11(1)(a)/11(1)(b) [restricted to the maximum of 15% of (7-8) above]


                                                                                                                                                Page 3 of 17
                         Amount in addition to amount referred to in (iv) above, accumulated or set apart for
                     vi specified purposes if all the conditions in section 11(2) and 11(5) are fulfilled (fill out vi
                         schedule I)
                     vii Amount eligible for exemption under section 11(1)(c)                                       9vii
                          a Approval number and date of approval by the Board
                     viii Total [9i+9ii+9iii+9iv+9v+9vi+9vii]                                                             9viii
                10 Additions
                      i    Income chargeable under section 11(1B)                                                          10i
                      ii Income chargeable under section 11(3)                                                     10ii
                         Income in respect of which exemption under section 11 is not available by virtue of
                     iii
                         provisions of section 13
                             Being anonymous donation at Diii of schedule VC to the extent applied for charitable
                          a                                                                                       10iiia
                             purpose
                          b Other than (a) above                                                                  10iiib
                     iv    Income chargeable under section 12(2)                                                          10iv
                      v    Total [10i + 10ii+10iiia+10iiib+10iv]                                                          10v
                11 Income chargeable u/s 11(4) [as per item no. E36 of Schedule BP]                                        11
                12 Total (6 ­ 8 - 9viii + 10v + 11)                                                                        12
                   Amount of income exempt under any clause of section 10, to the extent that is included in 12
                13                                                                                                         13
                   above
                   Amount eligible for exemption under section 10(21), 10(22B), 10(23A), 10(23B), 10(23C)(iv),
                14                                                                                                         14
                   10(23C)(v), 10(23C)(vi), 10(23C)(via)
                   Amount eligible for exemption under section 10(23C)(iiiad), 10(23C)(iiiae), 10(24), 10(46),
                15                                                                                                         15
                   10(47)
                16 Amount eligible for exemption under any clause, other than those at 14 and 15, of section 10            16
                17 Income chargeable under section 11(3) read with section 10(21)                                  17
                   Income claimed/ exempt under section 13A or 13B in case of a Political Party or Electoral Trust
                18                                                                                                 18
                   (fill Schedule LA or ET)
                19 Income chargeable to tax (6 ­ 8 - 9viii + 10v + 11 ­ 13 ­14 ­ 15 ­ 16 + 17 - 18)                19
                20 Losses of current year to be set off against 19 (total of 2ix, 3ix and 4ix of Schedule CYLA)            20
                21 Gross Total Income (19 - 20)                                                                            21
                22 Income chargeable to tax at special rate under section 111A, 112 etc. included in 21                    22
                23 Deduction u/s 10A or 10AA                                                                               23
                24 Deductions under chapter VIA (limited to 21 - 22)                                                       24
                25 Total Income [21 ­ 23 - 24]                                                                             25
                26 Income which is included in 25 and chargeable to tax at special rates (total of (i) of schedule SI)     26
                27 Net Agricultural income for rate purpose                                                                27
                28 Aggregate Income (25 ­ 26 + 27) [applicable if (25-26) exceeds maximum amount not chargeable to tax]    28
                   Anonymous donations, included in 28, to be taxed under section 115BBC @ 30% (Diii of
                29                                                                                                         29
                   schedule VC)
                30 Income chargeable at maximum marginal rates                                                             30


Part B - TTI          Computation of tax liability on total income
         1a Tax Payable on deemed total Income under section 115JB or 115JC as applicable (7 of                           1a
     1
            Schedule MAT/ 4 of Schedule AMT)
         1b Surcharge on (a) above                                                                                        1b
                     1c Education Cess on (1a+1b) above                                                                   1c
                     1d Total Tax Payable u/s 115JB or 115JC as applicable (1a+1b+1c)                                     1d
TAX LIABILITY




                2 Tax payable on total income
                     a Tax at normal rates on (28 ­ 29 ­ 30) of Part B-TI                      2a
                     b Tax at special rates (total of (ii) of Schedule-SI)                     2b
                       Tax on anonymous donation u/s 115BBC @30% on 29 of Part
                     c                                                                         2c
                       B-TI
                     d Tax at maximum marginal rate on 30 of Part B-TI                         2d
                           Rebate on agricultural income [applicable if (25-26) of Part B-TI
                      e                                                                        2e
                           exceeds maximum amount not chargeable to tax]



                                                                                                                                  Page 4 of 17
                    f Tax Payable on Total Income (2a + 2b+2c+2d ­ 2e)                                                             2f
             3 Surcharge on 2f                                                                                                      3
             4 Education cess, including secondary and higher education cess on (2f+3)                                              4
             5 Gross tax liability (2f+3+4)                                                                                         5
             6 Gross tax payable (higher of 5 and 1d)                                                                               6
               Credit under section 115JAA/115JD of tax paid in earlier years (if 5 is more than 1d)
             7                                                                                                                      7
               ( 5 of Schedule MATC/AMTC)
             8 Tax payable after credit under section 115JAA/115JD [ (6 ­ 7)]                                                       8
             9 Tax relief
                   a Section 90/90A (2 of Schedule TR)                                     9a
                   b Section 91 (3 of Schedule TR)                                         9b
                    c Total (9a + 9b)                                                                                              9c

             10 Net tax liability (8 ­ 9c)                                                                                         10

             11 Interest payable
                   a For default in furnishing the return (section 234A)               11a
                   b For default in payment of advance tax (section 234B)              11b
                    c For deferment of advance tax (section 234C)                      11c
                   d Total Interest Payable (11a+11b+11c)                                                                          11d

             12 Aggregate liability (10 + 11d)                                                                                     12

             13 Taxes Paid
                 a Advance Tax (from Schedule-IT)                                      13a
                   b TDS (column 8 of Schedule-TDS)                                    13b
TAXES PAID




                   c TCS (column 7 of Schedule-TCS)                                    13c
                   d Self-Assessment Tax (from Schedule-IT)                            13d
                    e Total Taxes Paid (13a+13b+13c + 13d)                                                                         13e

             14 Amount payable (Enter if 12 is greater than 13e, else enter 0)                                                     14

             15 Refund(If 13e is greater than 12) (refund, if any, will be directly credited into the bank account)                15

             16 Enter your bank account number (the number should be 9
                  digits or more as per Core banking solution of the bank)
             17 IFS Code                                                 Type of Account (tick as applicable  ) Cash credit,  Current,  Savings
                Do you have,-
                (i) any asset (including financial interest in any entity) located outside India or
             18
                (ii) signing authority in any account located outside India?                                                             Yes       No
                [applicable only in case of a resident] [Ensure Schedule FA is filed up if the answer is Yes ]




                                                                                VERIFICATION

       I,                                                 son/ daughter of                                           , holding permanent
       account number ____________________ solemnly declare that to the best of my knowledge and belief, the information given in the
       return and the schedules, statements, etc accompanying it is correct and complete and that the amount of total income and other
       particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of
       income chargeable to income-tax for the previous year relevant to the assessment year 2014-15. I further declare that I am making
       this return in my capacity as _____________________________ and I am also competent to make this return and verify it.

       Place                                                 Date                                           Sign here 




  Schedule I                         Details of amounts accumulated / set apart within the meaning of section 11(2)
                    Year of           Amount           Purpose of             Amount            Amount invested        Amounts        Balance        Amount
                 accumulation       accumulate        accumulation           applied for         or deposited in        applied       amount        deemed to
                    (F.Yr.)           d in the                               charitable/            the modes             for        available      be income
                                      year of                                 religious            specified in       charitable         for          within
                                    accumulatio                               purposes            section 11(5)            or       application    meaning of
                                         n                                    upto the                                 religious     (7) = (2) -   sub-section
                                                                             beginning                                 purpose        (4) ­ (6)       (3) of
                                                                               of the                                 during the                    section 11
                                                                              previous                                 previous
                                                                                year                                     year
                      (1)                (2)                (3)                 (4)                   (5)                (6)              (7)           (8)


                                                                                                                                                    Page 5 of 17
                                       Total



Schedule J                                                Statement showing the investment of all funds as on the last day of the previous year
                                  A       i Balance in the corpus fund as on the last day of the previous year                         Rs. _____________________
                                         ii Balance in the non-corpus fund as on the last day of the year                              Rs. _____________________
                                  B Details of investment/deposits made under section 11(5)
                                  Sl           Mode of investment as per section 11(5)         Date of investment    Date of maturity        Amount of     Maturity amount
                                  No                                                                                                         investment

                                  (1)                        (2)                                      (3)                        (4)            (5)                  (6)
                                         Investment in Government Saving Scheme
                                   i
                                         Post Office Saving Bank
                                  ii
                                         Deposit in Schedule Bank or co-operating
                                  iii
                                         societies as per section 11(5)(iii)
                                  iv Investment in UTI

                                  v Any Other

                                  vi TOTAL
 DETAILS OF INVESTMENT OF FUNDS




                                  C Investment held at any time during the previous year (s) in concern (s) in which persons referred to in section
                                    13(3) have a substantial interest
                                  Sl Name and address           Where the concern Number of Class of                Nominal    Income from Whether the amount in col (6)
                                  No of the concern                is a company     shares held shares              value   of      the      exceeds 5 percent of the
                                                                (tick as applicable             held                the         investment capital of the concern during
                                                                                                                    investment                   the previous year
                                                                                                                                              (tick as applicable  )

                                  (1)               (2)                 (3)                 (4)             (5)            (6)         (7)                  (8)

                                   i                                 Yes         No                                                                       Yes        No

                                  ii                                 Yes         No                                                                       Yes        No
                                  iii                                Yes         No                                                                       Yes        No

                                  iv                                 Yes         No                                                                       Yes        No
                                  v                                  Yes         No                                                                       Yes        No

                                  vi                                 Yes         No                                                                       Yes        No


                                                            TOTAL
                                  D Other investments as on the last day of the previous year
                                  Sl       Name and address of the         Whether the concern is           Class of shares held       Number of shares held Nominal value
                                  No              concern                        a company                                                                   of investment
                                                                           (tick as applicable  )

                                  (1)                     (2)                         (3)                            (4)                        (5)                   (6)
                                   i                                              Yes          No




                                                                                                                                                                  Page 6 of 17
    ii                                               Yes         No

   iii                                               Yes         No

   iv                                                Yes         No

    v      TOTAL
   E Voluntary contributions/donations received in kind but not converted into investments in the specified modes u/s 11(5)
           within the time provided
  Sl.N         Name and address of the                Value of                Amount out of (3) invested  Balance to be treated as
   o
                      donor                    contribution/donation          in modes prescribed under income under section 11(3)
                                                                                    section 11(5)
   (1)                    (2)                              (3)                              (4)                            (5)
    i
    ii
   iii
   iv      TOTAL

Schedule K          Statement of particulars regarding the Author(s) / Founder(s) / Trustee(s) / Manager(s), etc., of the
                    Trust or Institution
         A       Name(s) of author(s) / founder(s) / Settlor(s) and address(es), if alive
         Sl.     Name and address                                                                                       PAN




         B       Name(s) of the person(s) who was / were trustee(s) / manager(s) during the previous year(s)
         Sl.     Name and address                                                                                       PAN




         C       Name(s) of the person(s) who has / have made substantial contribution to the trust / institution in terms of section
                 13(3)(b)
         Sl.     Name and address                                                                                       PAN




                 Name(s) of relative(s) of author(s), founder(s), trustee(s), manager(s), and substantial contributor(s) and where any
         D       such author, founder, trustee, manager or substantial contributor is a Hindu undivided family, also the names of the
                 members of the family and their relatives
         Sl.     Name and address                                                                                    PAN




                                                                                                                                 Page 7 of 17
Schedule LA                                             Political Party
                        1     Whether books of account were maintained? (tick as applicable  )                                               Yes              No
                        2     Whether record of each voluntary contribution in excess of twenty thousand rupees
                                                                                                                                             Yes              No
  POLITICAL PARTY



                              (including name and address of the person who has made such contribution) were
                              maintained? (tick as applicable  )
                        3
                              Whether the accounts have been audited? (tick as applicable  )                                                 Yes              No

                              If yes, date of audit (DD/MM/YYYY)                                                                                 ____/_____/______
                        4     Whether the report under sub-section (3) of section 29C of the Representation of the                           Yes              No
                              People Act, 1951 for the financial year has been submitted?(tick as applicable  )
                        5     If yes, then date of submission of the report (DD/MM/YYYY)                                                         ____/_____/______


Schedule ET                                    Electoral Trust
                    1         Whether books of account were maintained? (tick as applicable  )                                                Yes              No
                    2         Whether record of each voluntary contribution (including name, address and PAN of the
                              person who has made such contribution along with the mode of contribution) were                                 Yes              No
                              maintained? (tick as applicable  )
                    3         Whether record of each person (including name, address and PAN of such person) to
                                                                                                                                              Yes              No
                              whom voluntary contribution has been distributed was maintained? (tick as applicable  )
                    4                                                                                                                         Yes              No
                              Whether the accounts have been audited? (tick as applicable  )
  ELECTORAL TRUST




                              If yes, date of audit (DD/MM/YYYY )                                                                            _____/_____/______
                    5         Whether the report as per rule 17CA(14) furnished to the Commissioner of Income-tax                             Yes           No
                              or Director of Income-tax?(tick as applicable  )
                    6         Details of voluntary contribution
                              i        Opening balance as on 1st April                                                                i
                              ii       Voluntary contribution received during the year                                                ii
                              iii      Total (i + ii)                                                                                 iii
                              iv       Amount distributed to Political parties                                                        iv
                              v        Amount spent on managing the affairs of the Trust                                              v
                              vi       Total (iv + v)                                                                                 vi
                                                                   st
                              vii      Closing balance as on 31 March (iii ­ vi)                                                      vii


Schedule HP        Details of Income from House Property (Please refer to instructions)
        Address of property 1                       Town/ City                                                             State                       PIN Code
                    1

                            Is the property co-owned?             Yes           No    (if "YES" please enter following details)

                            Your percentage of share in the property

                            Name of Co-owner(s)                                  PAN of Co-owner(s) (optional)             Percentage Share in Property
                             I
HOUSE PROPERTY




                             II

                            (Tick)         if let out                            Name of Tenant                            PAN of Tenant (optional)


                                    Annual letable value or rent received or receivable (higher of the two, if let out for whole of
                             a                                                                                                             1a
                                    the year, lower of the two if let out for part of the year)
                             b      The amount of rent which cannot be realized                 1b
                             c      Tax paid to local authorities                               1c
                             d      Total (1b + 1c)                                             1d
                             e      Annual value (1a ­ 1d) (nil, if self -occupied etc. as per section 23(2)of the Act)                    1e
                             f      30% of 1e                                                   1f
                             g      Interest payable on borrowed capital                        1g
                             h      Total (1f + 1g)                                                                                        1h
                             i      Income from house property 1 (1f ­ 1i)                                                                  1i




                                                                                                                                                             Page 8 of 17
                     Address of property 2                          Town/ City                               State              PIN Code
                 2

                     Is the property co-owned?      Yes             No   (if "YES" please enter following details)

                     Your percentage of share in the property.

                     Name of Co-owner(s)                            PAN of Co-owner(s) (optional)            Percentage Share in Property
                      I

                     II

                     (Tick)     if let out                          Name of Tenant                           PAN of Tenant (optional)


                       Annual letable value or rent received/ receivable (higher of the two, if let out for whole of
                      a                                                                                                 2a
                       the year, lower of the two, if let out for part of the year)
                     b The amount of rent which cannot be realized                   2b
                     c Tax paid to local authorities                                 2c
                     d Total (2b + 2c)                                               2d
                     e Annual value (2a ­ 2d)                                                                           2e
                     f 30% of 2f                                                     2f
                     g Interest payable on borrowed capital                          2g
                     h Total (2f + 2g)                                                                                  2h
                     i Income from house property 2 (2e ­ 2h)                                                           2i
                 3 Income under the head "Income from house property"
                     a Rent of earlier years realized under section 25A/AA                                              3a
                     b Arrears of rent received during the year under section 25B after deducting 30%                   3b
                     c Total (1i + 2i + 3a + 3b ) (if negative take the figure to 2i of schedule CYLA)                  3c


Schedule CG           Capital Gains
     A Short-term capital gain
          1 From assets (shares/units) where section 111A is applicable (STT paid)
             a Full value of consideration                         1a
             b Deductions under section 48
                  i Cost of acquisition                            bi
                  ii Cost of Improvement                           bii
                 iii Expenditure on transfer                      biii
                 iv Total (i + ii + iii)                          biv
             c Balance (1a ­ biv)                                  1c
             d Loss, if any, to be ignored under section 94(7) or 1d
                94(8) (Enter positive value only)
                           e Short-term capital gain (1c +1d)                                                          A1e
                      2 From assets where section 111A is not applicable
                         a Full value of consideration                            2a
                         b Deductions under section 48
                               i Cost of acquisition                              bi
                              ii Cost of Improvement                             bii
                              iii Expenditure on transfer                        biii
                              iv Total (i + ii + iii)                            biv
                          c Balance (2a ­ biv)                                   2c
                         d Loss, if any, to be ignored under section 94(7) or    2d
                            94(8) (Enter positive value only)
                          e Short-term capital gain (2c + 2d)                                                          2e
                      3 Deemed short term capital gain on depreciable assets                                           A3
 CAPITAL GAINS




                      4 Exemption u/s 11(1A)                                                                           A4
                    5 Total short term capital gain (A1e + 2e + A3 - A4)                                               A5
                 B Long term capital gain
                    1 From asset where proviso under section 112(1) is not applicable
                           a Full value of consideration                         1a
                           b Deductions under section 48



                                                                                                                                        Page 9 of 17
                              i Cost of acquisition after indexation         bi
                             ii Cost of improvement after indexation         bii
                            iii Expenditure on transfer                     biii
                             iv Total (bi + bii +biii)                       biv
                        c Balance (1a ­ biv)                                 1c
                        d Exemption u/s 11(1A)                                                                   1d
                        e Long-term capital gains where proviso under section 112(1) is not applicable (1c ­ 1d) B1e
                     2 From asset where proviso under section 112(1) is applicable (without indexation)
                        a Full value of consideration                       2a
                        b Deductions under section 48
                               i Cost of acquisition without indexation     bi
                              ii Cost of improvement without indexation     bii
                             iii Expenditure on transfer                   biii
                              iv Total (bi + bii +biii)                    biv
                        c Balance (2a ­ biv)                                2c
                        d Exemption u/s 11(1A)                                                                          2d
                        e Long-term capital gains where proviso under section 112(1) is applicable (2c ­ 2d)            B2e
                          (1e
                     3 Total    ­ 1f)
                             long   term capital gain (B1e + B2e)                                                       B3
                 C Income chargeable under the head "CAPITAL GAINS" (A5 + B3) (enter B3 as nil, if loss)                 C


Schedule OS                          Income from other sources
                 1 Income
                     a Dividends, Gross                                                  1a
                     b Interest, Gross                                              1b
                     c Rental income from machinery, plants, buildings, etc., Gross 1c
                         Others, Gross (excluding income from owning race
                     d
                         horses)Mention the source
                           i
                             Income from winnings from lotteries, crossword puzzles 1di
                             etc.
                          ii                                                            1dii
                          iii                                                           1diii
                          iv Total (1di + 1dii+ 1diii)                                  1div
                     e Total (1a + 1b + 1c + 1div)                                                                               1e
                     f Income included in `1e' chargeable to tax at special rate (Chapter XII/XIIA) (to be taken to schedule SI)
 OTHER SOURCES




                            Income from winnings from lotteries, crossword puzzles, races, games, gambling, betting etc
                           i                                                                                                     1i
                            (u/s 115BB)
                         ii Any other income under chapter XII/XII-A                                                            1fii
                        iii Income included in `1e' chargeable to tax at special rate (1fi +1fii)                               1fiii
                     g Gross amount chargeable to tax at normal applicable rates (1e-1fiii)                                     1g
                     h Deductions under section 57
                           i Expenses / Deductions                                        hi
                         ii Depreciation                                                           hii
                        iii Total                                                                 hiii
                       Income from other sources (other than from owning race horses and amount chargeable to tax at
                     i                                                                                                           1i
                       special rate) (1g ­ hiii) (If negative take the figure to 4i of schedule CYLA)
                 2 Income from other sources (other than from owning race horses) (1fiii + 1i) (enter 1i as nil, if negative)    2
                 3 Income from the activity of owning and maintaining race horses
                     a Receipts                                                           3a
                     b Deductions under section 57 in relation to (3)                     3b
                     c Balance (3a ­ 3b)                                                                                         3c
                 4 Income under the head "Income from other sources" (2 + 3c) (take 3c as nil if negative)                       4



                 Schedule- VC         Voluntary Contributions
                     A    Local
                               i   Corpus fund donation                                                       Ai
                           ii      Other than corpus fund donation                                           Aii
                           iii     Voluntary contribution local (Ai + Aii)                                   Aiii


                                                                                                                                        Page 10 of 17
                                         B       Foreign contribution
                                                  i     Corpus fund donation                                                         Bi
                                                  ii    Other than corpus fund donation                                              Bii
                                                 iii    Foreign contribution (Bi + Bii)                                             Biii
                                         C       Total Contributions (Aiii + Biii)                                                   C
                                         D       Anonymous donations, included in C, chargeable u/s 115BBC
                                                  i    Aggregate of such anonymous donations received                                 i
                                                 ii    5% of total donations received at C or 1,00,000 whichever is higher           ii
                                                 iii   Anonymous donations chargeable u/s 115BBC @ 30% (i ­ ii)                      iii



Schedule OA                                                 General
                                        Do you have any income under the head business and profession?  Yes                   No   (if "yes" please enter following details)
                                      1 Nature of Business or profession (refer to the instructions)                                              1
                                      2 Number of branches                                                                                        2
                                      3 Method of accounting employed in the previous year (Tick)                 mercantile               cash   3
                                      4 Is there any change in method of accounting         (Tick)                Yes                             4
                                      5
                                        Effect on the profit because of deviation, if any, in the method of accounting employed in the
                                                                                                                                                  5
                                        previous year from accounting standards prescribed under section 145A
                                      6 Method of valuation of closing stock employed in the previous year                                        6
                                            Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at
                                          a
                                            market rate write 3)
                                                                                                                                              
                                            Finished goods (if at cost or market rates whichever is less write 1, if at cost write 2, if at
                                          b
                                            market rate write 3)
                                                                                                                                              
                                          c Is there any change in stock valuation method       (Tick)          Yes                No
                                          d Effect on the profit or loss because of deviation, if any, from the method of valuation
                                            prescribed under section 145A                                                                         6d




Schedule BP            Computation of income from business or profession
     A From business or profession other than speculative business and specified business
          1 Profit before tax as per profit and loss account                                                                                      1
            Net profit or loss from speculative business included
          2                                                        2
            in 1 (enter ­ve sign in case of loss)
                                                 Net profit or loss from Specified Business u/s 35AD
                                             3                                                           3
                                                 included in 1 (enter ­ve sign in case of loss)
                                                 Profit or loss included in 1, which is referred to in
                                             4                                                           4
                                                 section 44AD/44AE
 INCOME FROM BUSINESS OR PROFESSION




                                             5   Income credited to Profit and Loss account (included in 1) which is exempt
                                                   a share of income from firm(s)                       5a
                                                   b Share of income from AOP/ BOI                      5b
                                                   c Any other exempt income                            5c
                                                   d Total exempt income                                5d
                                             6   Balance (1­ 2 ­ 3 ­ 4­ 5d)                                                                       6
                                                 Expenses debited to profit and loss account             7
                                             7   considered under other heads of income
                                                 Expenses debited to profit and loss account which        8
                                             8 relate to exempt income

                                             9 Total (7 + 8)                                              9
                                          10 Adjusted profit or loss (6+9)                                                                        10
                                                 Deemed income under section 33AB/33ABA/35ABB             11
                                          11

                                             Any other item or items of addition under section 28         12
                                          12
                                             to 44DA
                                          13 Any other income not included in profit and loss             13
                                             account/any other expense not allowable (including
                                             income from salary, commission, bonus and interest
                                             from firms in which company is a partner)


                                                                                                                                                               Page 11 of 17
                                      14 Total (10 +11+12+13)                                                                               14
                                      15 Deduction allowable under section 32(1)(iii)               15
                                      16 Any other amount allowable as deduction                                                            16
                                      17 Total ( 15 +16)                                                                                    17
                                      18 Income (14 ­ 17)                                                                                  18
                                      19 Profits and gains of business or profession deemed to be under -
                                           i   Section 44AD                                         19i
                                           ii Section 44AE                                         19ii
                                           iii Total (19i to 19ii)                                                                         19iii
                                      20 Net profit or loss from business or profession other than speculative and specified                20
                                         business (18 + 19iii)
                                      21 Net Profit or loss from business or profession other than speculative business and                A21
                                         specified business after applying rule 7A, 7B or 7C, if applicable (If rule 7A, 7B or 7C is not
                                     applicable, enter same figure as in 20)
                                B Computation of income from speculative business
                                      24 Net profit or loss from speculative business as per profit or loss account                         24
                                      25 Additions in accordance with section 28 to 44DA                                                    25
                                      26 Deductions in accordance with section 28 to 44DA                                                   26
                                      27 Profit or loss from speculative business (24+25-26) (enter nil if loss)                           B27
                                C Computation of income from specified business under section 35AD                                          C
                                      28 Net profit or loss from specified business as per profit or loss account                           28

                                      29 Additions in accordance with section 28 to 44DA                                                    29
                                         Deductions in accordance with section 28 to 44DA (other than deduction under section,- (i) 35AD, 30
                                      30 (ii) 32 or 35 on which deduction u/s 35AD is claimed)
                                      31 Profit or loss from specified business (28+29-30)                                                31

           32 Deductions in accordance with section 35AD(1) or 35AD(1A)                                              32
           33 Profit or loss from specified business (31-32) (enter nil if loss)                                     33
     D Income
         Inco     chargeable under the head `Profits and gains'D     (A21+B27+C33)                                  D34
     E meComputation of income chargeable to tax under section 11(4)
         char
           35 Income as shown in the accounts of business under taking [refer section 11(4)]
         gea                                                                                                        E35
         ble
           36 Income chargeable to tax under section 11(4) [D34-E35]
         und                                                                                                        E36
         er
Schedulethe
          CYLA            Details of Income after set-off of current years losses
         hea
    Sl.No     Head/ Source of      Income of current   House property loss of          Business Loss          Other sources loss  Current year's
         d
                  Income                   year        the current year set off (other than speculation or (other than loss from      Income
         `Pro                       (Fill this column                            specified business loss) of  race horses) of the remaining after
         fits                       only if income is                             the current year set off   current year set off      set off
         and                        zero or positive)         Total loss                 Total loss                Total loss
         gain                                           (3c of Schedule ­HP)       (A21 of Schedule-BP)      (1i of Schedule-OS)
         s'                                  1                    2                          3                          4            5=1-2-3-4
         (A3
           Loss to be adjusted ->
         7+B
       i House property
 CURRENT YEAR LOSS ADJUSTMENT




         41+
      ii C47
           Business (excluding
         ) speculation income
                                      and income from
                                      specified business)
                                iii   Speculation income
                                iv   Specified business
                                     income
                                  v Short-term capital
                                     gain
                                 vi Long term capital
                                     gain
                                vii Other sources
                                     (excluding profit
                                     from owning race
                                     horses and winnings
                                     from lottery)
                                viii Profit from owning
                                     and maintaining race
                                     horses
                                 ix Total loss set-off

                                x     Loss remaining after set-off


                                                                                                                                                   Page 12 of 17
Schedule MAT          Computation of Minimum Alternate Tax payable under section 115JB
        Whether the Profit and Loss Account is prepared in accordance with the provisions of Parts II of Schedule VI to the
     1
        Companies Act, 1956 (If yes, write `Y', if no write `N')                                                                                             
        Whether, for the Profit and Loss Account referred to in item 1 above, the same accounting policies, accounting
     2 standards and same method and rates for calculating depreciation have been followed as have been adopted for                                          
        preparing accounts laid before the company at its annual general body meeting? (If yes, write `Y', if no write `N'
                        3 Profit after tax as shown in the Profit and Loss Account                                                    3
                        4 Additions (if debited in profit and loss account)
                                  Income Tax paid or payable or its provision
                             a including the amount of deferred tax and the                  4a
                               provision therefor
                             b Reserve (except reserve under section 33AC)                   4b
                             c Provisions for unascertained liability                        4c
                             d Provisions for losses of subsidiary companies                 4d
                             e Dividend paid or proposed                                     4e
                                  Expenditure related to exempt income under sections
MINIMUM ALTERNATE TAX




                             f 10, 11 or 12 [exempt income excludes income exempt             4f
                               under section 10(38)]
                             g Depreciation attributable to revaluation of assets            4g
                               Others (including residual unadjusted items and
                             h                                                               4h
                               provision for diminution in the value of any asset)
                             i    Total additions (4a+4b+4c+4d+4e+4f+4g+4h)                                                           4i
                        5 Deductions
                           a Amount withdrawn from reserve or provisions if                  5a
                                  credited to Profit and Loss account
                             b    Income exempt under sections 10, 11 or 12 [exempt          5b
                                  income excludes income exempt under section 10(38)]
                             c    Amount withdrawn from revaluation reserve and              5c
                                  credited to profit and loss account to the extent it
                                  does not exceed the amount of depreciation
                                  attributable to revaluation of asset
                             d    Loss brought forward or unabsorbed depreciation            5d
                                  whichever is less
                             e    Profit of sick industrial company till net worth is        5e
                                  equal to or exceeds accumulated losses
                             f    Others (including residual unadjusted items and the         5f
                                  amount of deferred tax credited to P&L A/c)
                             g Total deductions (5a+5b+5c+5d+5e+5f)
                                                                                                                                      5g
                        6 Book profit under section 115JB (3+ 4i ­ 5g)                                                                    6

                        7 Tax payable under section 115JB [18.5% of (6)]                                                                  7


    Schedule MATC         Computation of tax credit under section 115JAA
         1 Tax under section 115JB in assessment year 2014-15 (1d of Part-B-TTI)                                                      1
                        2 Tax under other provisions of the Act in assessment year 2014-15 (5 of Part-B-TTI)                          2
                        3 Amount of tax against which credit is available [enter (2 ­ 1) if 2 is greater than 1, otherwise enter 0]   3
                        4 Utilisation of MAT credit Available [Sum of MAT credit utilized during the current year is subject to maximum of amount mentioned in 3
                          above and cannot exceed the sum of MAT Credit Brought Forward ]
                           S.No Assessment Year                                   MAT Credit                                  MAT Credit         Balance MAT
                                 (A)                                                                                       Utilised during the      Credit
                                                                                                                             Current Year      Carried Forward
MAT CREDIT




                                                                                                                                   (C)          (D)= (B3) ­ (C)

                                                              Gross        Set-off in earlier years Balance Brought
                                                              (B1)                   (B2)               forward
                                                                                                     (B3)=(B2)-(B1)
                             i     2007-08
                             ii    2008-09
                            iii    2009-10
                            iv     2010-11
                             v     2011-12
                            vi     2012-13
                            vii    2013-14


                                                                                                                                                  Page 13 of 17
                    viii 2014-15 (enter 1 -2,
                         if 1>2 else enter 0)
                     ix Total
                5 Amount of tax credit under section 115JAA utilised during the year [enter 4(C)ix]                           5

                6 Amount of MAT liability available for credit in subsequent assessment years [enter 4(D)ix]                  6



Schedule AMT                         Computation of Alternate Minimum Tax payable under section 115JC
                1 Total Income as per item 25 of PART-B-TI                                                                        1
                2 Adjustment as per section 115JC(2)
                     a Deduction Claimed under any section included in   2a
                       Chapter VI-A under the heading "C.--Deductions in
                       respect of certain incomes"
                     b Deduction Claimed u/s 10AA                        2b
                    C Total Adjustment (2a+ 2b)                                     2c
                3 Adjusted Total Income under section 115JC(1) (1+2c)                                                             3
                4 Tax payable under section 115JC [18.5% of (3)] (In the case of Individual, HUF, AOP, BOI, AJP this is           4
                   applicable if 3 is greater than Rs. 20 lakhs)




Schedule AMTC         Computation of tax credit under section 115JD
     1 Tax under section 115JC in assessment year 2014-15 (1d of Part-B-TTI)                                                  1
                2 Tax under other provisions of the Act in assessment year 2014-15 (5 of Part-B-TTI)                          2
                3 Amount of tax against which credit is available [enter (2 ­ 1) if 2 is greater than 1, otherwise          3
                  enter 0]
                4 Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned in 3
                   above and cannot exceed the sum of AMT Credit Brought Forward)
                   S.No Assessment Year (AY)                                  AMT Credit                                 AMT Credit     Balance AMT
                                (A)                                                                                     Utilised during     Credit
                                                                                                                       the Current Year    Carried
                                                                                                                               (C)        Forward
                                                                                                                                        (D)= (B3) ­(C)
                                                             Gross     Set-off in earlier   Balance brought forward
                                                             (B1)            years             (B3) = (B1) ­ (B2)
                                                                             (B2)
                      i    2012-13
                     ii 2013-14
                        Current AY (enter 1 -
                     iii
                        2, if 1>2 else enter 0)
                     iv Total
                5 Amount of tax credit under section 115JD utilised during the year [total at item no 4Civ]               5
                6 Amount of AMT liability available for credit in subsequent assessment years [total at 4Div]             6




Schedule SI           Income chargeable to tax at special rates [Please see instruction]
     Sl                              Section                                          Special rate                        Income          Tax thereon
     No                                                                                  (%)                                (i)               (ii)
      1 111A (STCG on shares where STT paid)                                              15
      2 112 proviso (LTCG on listed securities/ units without indexation)                 10
                                                                                
 SPECIAL RATE




      3 112 (LTCG on others)                                                              20
      4 115BB (Winnings from lotteries, puzzles, races, games etc.)                       30
      5 115BBE (Income under section 68, 69, 69A, 69B, 69C or 69D)                        30
      6                                                                         
      7                                                                         
      8                                                                         
      9                                                                         
     10                                                                         
     11                                                                                    Total




                                                                                                                                          Page 14 of 17
Schedule IT                                                         Details of payments of Advance Tax and Self-Assessment
                                            Sl                BSR Code                   Date of Deposit (DD/MM/YYYY)        Serial Number of Challan                 Amount (Rs)
                                            No
                                               i
                                            ii
                       TAX PAYMENTS




                                            iii

                                            iv

                                               v

                                            vi

                                           NOTE  Enter the totals of Advance tax and Self-Assessment tax in Sl No. 13a & 13d of Part B-TTI


Schedule TDS                                                    Details of Tax Deducted at Source (TDS) on Income [As per Form 16 A issued by Deductor(s) or Form 26QB]
                                           Sl       Tax Deduction      Name of the       Unique TDS        Unclaimed TDS brought     TDS of the Amount out of (6) or (7) being Amount out of
                                           No      Account Number       Deductor          Certificate           forward (b/f)        current fin.   claimed this Year (only if  (6) or (7) being
                                                     (TAN) of the                          Number                                       year      corresponding income is being      carried
                                                                                                           Fin. Year in     Amount
                                                       Deductor                                                                                      offered for tax this year)     forward
                       TDS ON INCOME




                                                                                                          which deducted      b/f
                                            (1)         (2)                (3)                   (4)            (5)           (6)        (7)                    (8)                       (9)

                                               i



                                            ii


                                           NOTE  Please enter total of column (8) of Schedule-TDS in 13b of Part B-TTI



Schedule TCS                                                    Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
                                           Sl       Tax Deduction and Tax         Name of the Collector    Unclaimed TCS brought     TCS of the Amount out of (5) or (6) being Amount out of
                                           No      Collection Account Number                                    forward (b/f)        current fin.   claimed this Year (only if  (5) or (6) being
                                                         of the Collector                                                               year      corresponding income is being      carried
                                                                                                           Fin. Year in     Amount
                                                                                                                                                     offered for tax this year)     forward
                       TCS ON INCOME




                                                                                                          which collected     b/f
                                            (1)               (2)                          (3)                  (4)           (5)        (6)                    (7)                       (8)

                                               i



                                            ii


                                           NOTE  Please enter total of column (7) of Schedule-TDS in 13c of Part B-TTI





Schedule FSI                   Details of Income from outside India and tax relief
    Sl. Country Taxpayer       Sl. Head of income       Income from        Tax paid Tax payable on                                                          Tax relief     Relevant article
        Code    Identification                          outside India    outside India such income                                                         available in of DTAA if relief
INCOME FROM OUTSIDE INDIA AND TAX RELIEF




                Number                               (included in PART                 under normal                                                           India       claimed u/s 90 or
                                                            B-TI)                      provisions in                                                      (e)= (c) or (d)       90A
                                                                                          India                                                            whichever is
                                                                                                                                                              lower
                                                                                        (a)                  (b)              (c)              (d)              (e)                 (f)
                                           1                                i House Property
                                                                                 Business or
                                                                            ii
                                                                                 Profession
                                                                           iii Capital Gains
                                                                           iv Other sources
                                                                                              Total
                                           2                                i House Property
                                                                                 Business or
                                                                            ii
                                                                                 Profession
                                                                           iii Capital Gains



                                                                                                                                                                            Page 15 of 17
                                                                           iv Other sources
                                                                                            Total
                                         NOTE              Please refer to the instructions for filling out this schedule.



Schedule TR                                                       Summary of tax relief claimed for taxes paid outside India
                                           1 Details of Tax relief claimed
                                                   Country Code            Taxpayer             Total taxes paid outside India            Total tax relief available     Section under which
                                                                         Identification         (total of (c) of Schedule FSI in       (total of (e) of Schedule FSI in     relief claimed
 TAX RELIEF FOR TAX PAID OUTSIDE INDIA




                                                                           Number                  respect of each country)               respect of each country)      (specify 90, 90A or 91)
                                                         (a)                  (b)                               (c)                                    (d)                         (e)




                                                                                Total
                                             Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of
                                           2                                                                                                           2
                                             total of 1(d))
                                             Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total
                                           3                                                                                                           3
                                             of 1(d))
                                             Whether any tax paid outside India, on which tax relief was allowed in India, has been
                                           4                                                                                                           4                           Yes/No
                                             refunded/credited by the foreign tax authority during the year? If yes, provide the details below
                                                   a Amount of tax refunded                                     b Assessment year in which tax relief allowed in India
                                         NOTE          Please refer to the instructions for filling out this schedule.


Schedule FA            Details of Foreign Assets
     A    Details of Foreign Bank Accounts
                                         Sl No Country Name                Country Code             Name and Address of      Name mentioned Account Number         Peak Balance During the
                                                                                                         the Bank             in the account                           Year (in rupees)
                                           (1)           (2)                     (3)                        (4)                     (5)           (6)                        (7)

                                               i


                                            ii

                                           B Details of Financial Interest in any Entity
                                         Sl No Country Name                 Country Code                    Nature of entity            Name and Address of the     Total Investment (at cost)
                                                  (1)                           (2)                               (3)                          Entity                      (in rupees)
 FOREIGN ASSETS




                                                                                                                                                 (4)                            (5)
                                         (i)

                                         (ii)


                                           C Details of Immovable Property
                                         Sl No Country Name                 Country Code                     Address of the Property                Total Investment (at cost) (in rupees)
                                          (1)       (2)                         (3)                                    (4)                                          (5)

                                           (i)

                                          (ii)


                                           D Details of any other Asset in the nature of Investment
                                         Sl No Country Name                 Country Code                         Nature of Asset                    Total Investment (at cost) (in rupees)
                                          (1)       (2)                         (3)                                   (4)                                          (5)

                                          (i)
                                          (ii)
                                           E       Details of account(s) in which you have signing authority and which has not been included in A to D above




                                                                                                                                                                               Page 16 of 17
     Sl No Name of the Institution in which the     Address of the       Name of the account       Account     Peak Balance/Investment during
      (1)            account is held                 Institution               holder              Number            the year (in rupees)
                           (2)                           (3)                     (4)                 (5)                     (6)

      (i)

      (ii)


      F      Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
      Sl     Country Name      Country Code Name and address of Name and address of               Name and          Name and address of
      No          (2)              (3)           the trust           trustees                     address of           Beneficiaries
      (1)                                           (4)                 (5)                        Settlor                 (7)
                                                                                                     (6)
      (i)
      (ii)

NOTE  Please refer to the instructions for filling up this schedule.




                                                                                                                                Page 17 of 17

 
 
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